Drugs in Motion Intro

Welcome to Drugs in Motion where we show you what drug mechanisms look like.

Absorption and Distribution

See how the drug gets to the site of action.

Diuretics

CARBONIC ANHYDROUS INHIBITORS: Acetazolamide

LOOP DIURETICS: Furosemide, Torsemide, Bumetanide, Ethacrynic Acid

THIAZIDES: Hydrochlorothiazide, Indapamide, Metolzaone, Chlorthalidone, Chlorothiazide

POTASSIUM SPARING: Triamterene, Amiloride

ALDOSTERONE ANTAGONISTS: Spironolactone, Eplerenone.

Notable Side Effects

Carbonic Anhydrase Inhibitors: Metabolic Acidosis and Paresthesias

Loop Diuretics: HyPOnatremia, HyPOkalemia, and Ototoxicity

Thiazides: HyPOnatremia, HyPOkalemia, and HyPERglycemia

Potassium Sparing Diuretics: HyPERkalemia and Kidney Stones

Aldosterone Antagonists: HyPERkalemia, impotence, and gynecomastia

ACE Inhibitors - Angiotensin Converting Enzyme Inhibitors

ACE Inhibitors: Benazepril, Captopril, Enalapril, Fosinopril, Lisinopril, Moexepril, Preindopril, Quinapril, Ramiprl, Trandolopril

Notable Side Effects: Cough, HyPERkalemia, Acute Renal Failure

ARBs - Angiotensin Receptor Blockers

ARBs: Azilsartan, Candesartan, Eprosartan, Irbesartan, Losartan, Olmesartan, Telmisartan, Valsartan

Notable Side Effect: HyPERkalemia

CCBs - Calcium Channel Blockers

Non-Dihydropyridine CCBs: Diltiazem and Verapamil

Dihydropyridine CCBs: Amlodipine, Clevdipine, Felodipine, Isardipine, Nicardipine, Nifedipine, Nimodipine, Nisoldipine

Notable Side Effects

Nondihyropyridines: Heart block, Edema, bradycardia

Dihydropyridines: Palpitations, Flushing, Edema

Beta Blockers

Selective B1 Beta Blockers: Acebutolol, Atenolol, Betaxolol, Bisoprolol, Esmolol, Metoprolol, Nebivolol

Nonselective B1/B2 Beta Blockers: Carteolol, Carvediolol, Labetalol, Nadolol, Penbutolol, Pindolol, Propranolol, Sotalol, Timolol

Notable Side Effects: Bradycardia, HyPOtension, Heart Block, Heart Failure

Digoxin

Notable Side Effects: Bradycardia, Anorexia

Digoxin toxicity: Nausea, Vertigo, Vomiting, Fatigue, Malaise, Blurred vision, Yellow Vision, Arrythmia, Heart Block

Alpha Blockers

Alpha Blockers: Doxazosin, Prazosin, Terazosin (Carvediolol and Labetalol have both alpha and beta blocker activity)

Notable Side Effects: Orthostatic HyPOtension, Dizziness, Syncope, Fluid Retention

Class III Antiarrhythmics

Class III Antiarrhythmics: Amiodarone, Dofetilide, Dronedarone, Ibutilide, and Sotalol

Notable Side Effects: QT Prolongation/Torades de Pointes, Bradycardia, Heart Failure, Pulmonary Toxicity

Class I Antiarrhythmics

Class Ia: Disopyramide, Procainamide, and Quinidine

Class Ib: Lidocaine and Mexiletine

Class Ic: Flecainide, Moricizine, and Propafenone

Notable Side Effects: QT Prolongation/Torades de Pointes, Bradycardia, Heart Failure, Pulmonary Toxicity

Nitrates

Nitrates: Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, and Sodium Nitroprusside

Notable Side Effects: Severe HyPOtension, Postural HyPOtension, Headache, Lightheadedness

Sympathomimetics

Sympathomimetics: Dobutamine, Dopamine, Ephedrine, Epinepherine, Norpinephrine, Phenylephrine

Notable Side Effects: HyPERtension, Arrhythmias, Mycoardial Infarction, Stroke

Hydralazine

Notable Side Effects: HyPOtension, Headache, Anorexia

Vasopressin

Notable Side Effects: Heart Failure, Bradycardia, Arrhythmia

Statins

Statins: Atorvastatin, Fluvastatin, Lovastatin, Pitavastatin, Pravastatin, Rosuvastatin, Simvastatin

Notable Side Effects: Rhabdomyolsis, Liver enzyme (LFT) abnormalities, Muscle pain

Bile Acid Sequestrants

Bile Acid Sequestrants: Cholestyramine, Colesevelam, Colestipol

Notable Side Effects: Constipation, Diarrhea, Bloating, Flatulence, Vitamin A, D, K, and folic acid deficiency

Niacin

Notable Side Effects: Flushing, Hepatotoxicity, Liver enzyme (LFT) abnormalities, Rhabdomyolysis

Fibrates

Fibrates: Fenofibrate, Fenofibric Acid, Gemfibrozil

Notable Side Effects: Myopathy, Gallstones, Stomach Pain, Rhabdomyolysis

Cholesterol Absorption Inhibitors

Cholesterol Absorption Inhibitors: Ezetimibe

Notable Side Effects: LFT abnormalities, Rhabdomyolysis, Myopathy

Acetylcholinesterase Inhibitors

Acetylcholinesterase Inhibitors for Myasthenia Gravis: Pyridostigmine

Notable Side Effects: Retroperitoneal fibrosis/Retropulmonary fibrosis, Left side cardiac valve dysfunction

Non Depolarizing Neuromuscular Blockers

Non-Depolarizing Neuromuscular Blockers: Atacurium,Doxacurium, Cisatracurium, Vecuronium, Rocuronium, Pancuronium

Notable Side Effects: Paralysis, Hypotension, Paralysis of Diaphragm, Flushing, Tachycardia, Malignant Hyperthermia

Depolarizing Neuromuscular Blockers

Depolarizing Neuromuscular Blockers: Succinylcholine

Notable Side Effects: Paralysis, Hypotension, Paralysis of Diaphragm, Flushing, Tachycardia, HyPERkalemia, Malignant Hyperthermia

Ketamine

Notable Side Effects: Increased intracranial pressure, Hallucinations, Delirium, Nystagmus, Spontaneous limb movement

Propofol

Notable Side Effects: Burning and Stinging, Apnea, Bradycardia, HyPOtension

Etomidate

Notable Side Effects: Transient venous pain, Transient skeletal muscle movements, HyPOtension, Apnea, Laryngospasm

Local Anesthetics Sodium Channel Blockers

Local Anesthetics: Cocaine, Benzocaine, Bupivicaine, Dibucaine, Lidocaine, Mepivicaine, Pramoxine, Prilocaine, Procaine, Ropivacaine, Tetracaine

Notable Side Effects: Parasthesia, Tinnitus, Metallic taste, Arrhythmia, Methemoglobinemia

Barbiturates

Barbiturates: Butabarbital, Butalbital, Methohexital, Pentobarbital, Phenobarbital, Primidone, Secobarbital

Notable Side Effects: Fetal Withdrawal Syndrome, Stevens-Johnson Syndrome, Tolerance and Dependance

Benzodiazepines

Benzodiazepines: Alprazolam, Chlordiazepoxide, Clobazam, Clonazepam, Clorazepate, Diazepam, Estazolam, Flurazepam, Lorazepam, Midazolam, Oxazepam, Temazepam, Triazolam

Benzodiazepine-like drugs: Zolpidem, Zaleplon

Notable Side Effects: Drowsiness, Dizziness, Erectile Dysfunction, Anterograde amnesia, Tolerance and Dependance

Withdrawl Symptoms: Insomnia, Gastrointestinal issues, Tremors, Agitation, Muscle Spasms

Triptans

Triptans: Almotriptan, Eletriptan, Frovatriptan, Naratriptan, Rizatriptan, Sumatriptan, Zolmitriptan

Notable Side Effects: Well tolerated. Parasthesia, Warm/Cold sensation, Chest pain, Vertigo, Fatigue

Anticonvulsants: Sodium Channel Blockers

Hydantoins: Phenytoin, Fosphenytoin

Iminostilbenes: Carbamazepine, Oxcarbazepine, Eslicarbazepine

Lamotrigine, Lacosamide, Rufinamide

Notable Side Effects

Hydantoins: Hepatotoxicity, Bone marrow suppression, Toxic Epidermal Necrosis (TEN), Hirsutism, Arrythmias, Gingival Hyperplasia

Iminostilbenes: Drowsiness, Vertigo, Aplastic Anemia, Agranulocytosis, HyPOnatremia

Lamotrigine: Stevens-Johnson Syndrome, DRESS Syndrome, Toxic Epidermal Necrosis (TEN), Dizziness, Ataxia, Blurred Vision

Lacosamide: Dizziness, Ataxia, Diplopia, Blurred Vision

Rufinamide: QT shortening, Somnolence, Fatigue, Dizziness

Valproic Acid Derivatives

Valproic Acid Derivatives: Valproic Acid, Divalproex

Notable Side Effects: Hepatotoxicity, Pancreatitis, Fetal Abnormalities, Encephalopathy

Succinimides

Succinimides: Ethosuximide, Methsuximide

Notable Side Effects: Blood Dyscrasias, Abnormal Liver Function Test, Suicidal Ideation, Stevens-Johnson Syndrome, DRESS Syndrome

Vigabatrin

Notable Side Effects: Drowsiness, Diplopia, Vision loss, Psychosis, Weight gain, Neurotoxicity, Fatigue

Gabapentin and Pregabalin

Notable Side Effects: Well Tolerated. Somnolence, Dizziness, Fatigue

Topiramate

Notable Side Effects: Dizziness, Parasthesia, Somnolence, Fatigue, Weight loss

Levetiracetam and Brivaracetam

Notable Side Effects: Well Tolerated. Somnolence, Asthenia, Dizziness

Tiagabine

Notable Side Effects: Dizziness, Somnolence, Tremor, Memory impairment, Aphasia

Zonisamide

Notable Side Effects: Well Tolerated. Somnolence, Ataxia, Anorexia, Fatigue, Diplopia

Perampanel

Notable Side Effects: Psychiatric and Behavioral changes, Dizziness, Suicidal Ideation, DRESS syndrome, Somnolence

Ezogabine

Notable Side Effects: Retinal abnormalities and Vision loss, Urinary retention, Skin discoloration, Dizziness, Somnolence, Fatigue

Carbidopa and Levodopa

Notable Side Effects: "Weaning off" effect, "On-Off"phenomena, Nausea, Hallucinations, Orthostatic HyPOtension, Dyskinesias

Dopamine Receptor Agonists

Dopamine Receptor Agonists for Parkinson's Disease: Apomorphine, Bromocriptine, Pramipexole, Ropinorole, Rotigotine

Notable Side Effects: Asthenia, Hallucinations, Orthostatic HyPOtension, Dyskinesias, Extrapyramidal syndrome

COMT Inhibitors

COMT Inhibitors: Entacapone, Tolcapone

Notable Side Effects: Orthostatic HyPOtension, Vivid dreams, Hallucinations, Hepatotoxicity (Tolcapone), Dyskinisea, Diarrhea, Change in urine color

MAO Inhibitors

MAO Inhibitors for Parkinson's Disease: Selegeline, Rasagiline

Notable Side Effects: Well Tolerated. Dyskinesia, Nausea, Orthostatic HyPOtension, Abnormal dreams

Muscarinic Receptor Antagonists

Muscarninic Receptor Antagonists for Parkinson'sDisease: Benztropine, Diphenhydramine, Trihexyphenidyl

Notable Side Effects: Dry mouth, Blurred Vision, Urinary Retention, Tachycardia

Riluzole

Notable Side Effects: Hepatic Injury, Neutropenia, Interstitial Lung Disease, Asthenia, Nausea, Decreased Lung Function